scholarly journals Mental health, attitudes, and behavior of healthcare workers amid Covid-19 pandemic

2020 ◽  
Author(s):  
Ercan Kurt ◽  
İbrahim Ethem Ovalı ◽  
Hakan Tibilli ◽  
Umut Gulacti ◽  
Hakan Kaya ◽  
...  

Abstract Objective: To evaluate the mental Health and Psychosocial status, thoughts about the measures taken by the government, attitudes, and behaviors of HCWs facing the Covid-19 pandemic.Methods: A 56-question multiple-choice survey was performed by a one-to-one interview with the HCWs in 3 registered hospitals fighting the Covid-19 pandemic from 20 May to 10 June 2020. Mental health variables were assessed via the Patient Health Questionnaire-4 (PHQ-4) and the Turkish Beck Depression Scale to specify psychological manifestations. A scoring system was applied using a four-point Likert scale, from no points (“strongly disagree”) to three points (“strongly agree”) to determine the levels of anxiety and depression.Results: A total of 300 HCWs (45 physicians, 255 non-physician health care workers) enrolled in the survey. Only 0.8% of HCWs took psychological support from a therapist or psychiatrist. The most common concern about Covid-19 pandemic was that “the elderly and other risky population was being infected” (37.9%). 89.2% HCWs who felt the concern was that they had changed their thoughts with the information they got from television (P= 0.005, χ2= 20.271). Compared with non-physician HCWs, the physicians about the spreading of the Covid- 19 felt more the concern (%80 vs %47.1, p= 0.006 χ2=12.591) and physicians higher rate agreed that the number of tests being performed was sufficient enough. (53.3% vs. 41.2%, p=0.030, OR:0.29-0.35, χ2: 7.047), For all HCWs, the "feeling of being infected with Covid-19” item had the highest mean total score (2.60 ± 0.97). The mean score of “feeling nervous/anxious/on edge” item was 2.53±0.52 for physicians, and 2.26±0.86 for non-physician HCWs. Non-physicians HCWs had a higher mean score for “Feeling of increased body pain and agony” item than physicians (0.27±0.80 vs 0.76±1.23; mean dif= -0.50, 95% confidence interval=-1.002 to 0.006, p<0.05).Conclusions:The results of this survey study showed that the highest anxiety score for all healthcare professionals was the “feeling of being infected with covid-19”. Both physicians and non-physicians HCWs were feeling nervous/anxious/on edge largely according to anxiety scores.

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1612
Author(s):  
María del Carmen Zueck-Enríquez ◽  
Ma. Concepción Soto ◽  
Susana Ivonne Aguirre ◽  
Martha Ornelas ◽  
Humberto Blanco ◽  
...  

Anxiety about aging is an important mediating factor in attitudes and behavior toward elderly individuals as well as a mediating factor in the adjustment to one’s own aging processes. The aim of this study was to analyze the factor structure, internal consistency and factorial invariance by sex of the Lasher and Faulkender Anxiety about Aging Scale. The sample consisted of 601 Mexican older adults, 394 women and 207 men, with a mean age of 70.69 ± 8.10 years. The factor structure of the questionnaire was analyzed using confirmatory factor analysis. Analyses show that a four-factor structure is feasible and adequate. The four-factor structure (fear of the elderly, psychological concerns, physical appearance and fear of loss), according to statistical and substantive criteria, showed adequate reliability and validity indicators. However, the obtained model does not fully coincide with that proposed by the questionnaire authors, although it continues to support the multi-factor component of anxiety about aging. On the other hand, the factor structure, the factor loadings and the intercepts are considered invariant in the two populations (men and women); however, there are differences between populations on the means of the physical appearance and fear of loss factors.


2021 ◽  
Vol 4 (1) ◽  
pp. 119
Author(s):  
Rike Anggun Artisa ◽  
Cintantya Andhita Dara Kirana

The development of a paradigm in which the government no longer the only actor in charge of public affairs opens greater opportunities for the elderly to get attention. The elderly become a group with vulnerable conditions, from physical, social, mental, and spiritual aspects. The elderly school was formed through collaboration as a form of caring for the elderly in Bandung City. The elderly school is intended to improve the knowledge and behavior of the elderly towards health, increase the index of happiness, improve the quality of life and productivity, and increase independence from physical, psychological, social, and spiritual aspects. The purpose of this study is to identify and analyze the factors that drive collaboration, the collaborative process, and the benefits of collaboration. The research method used is a qualitative research method with a descriptive approach. The results show that the collaboration in the elderly school program is driven by the same goals and interests related to empowering the elderly, having appropriate resources with their fields and functions, and getting benefits from their involvement. Then, the collaborative process begins with a dialogue to build trust among stakeholders to build commitment to this program. Collaboration in senior schools is not only beneficial for the elderly but also for the actors involved.


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A416-A417
Author(s):  
B Mason ◽  
A Tubbs ◽  
L Hale ◽  
C Branas ◽  
M Barrett ◽  
...  

Abstract Introduction Mobile technology use in bed is becoming commonplace and associated with habitual short sleep duration. The present study examined whether device use at night was related to mental health. Methods Data from the Sleep and Healthy Activity, Diet, Environment, and Socialization (SHADES) study comes from a community-based sample, which was restricted to N=473 between the ages of 22-29. Device use was assessed as presence in the room at night, any use at night, texting, emailing, browsing the internet, making or receiving calls, and using social media. Participants were also asked how often they are woken by a call/alert from their phone (unplanned), how often they are woken by their phone alarm (planned), and how often they check their phone at night. These were recorded as never, rarely, some nights, almost every night, and every night, and were assessed as an ordinal outcome. Predictors included score on the Patient Health Questionnaire depression scale (PHQ9), GAD7 anxiety scale, Perceived Stress Scale (PSS), and Multidimensional Scale of Perceived Social Support (MSPSS). Ordinal logistic regression analyses were adjusted for age, sex, race/ethnicity, education, and income. Results Depression was associated with texting (oOR=1.03, p=0.025), email (oOR=1.03, p=0.022), internet (oOR=1.05, p=0.003), unplanned awakenings (oOR=1.05, p=0.001), and checking the phone (oOR=1.09, p&lt;0.0005). Anxiety was associated with texting (oOR=1.05, p=0.001), email (oOR=1.05, p=0.001), internet (oOR=1.05, p=0.002), social media (oOR=1.04, p=0.009), unplanned awakenings (oOR=1.06, p&lt;0.0005), planned awakenings (oOR=1.04, p=0.025), and checking the phone (oOR=1.10, p&lt;0.0005). Perceived stress was associated with internet (oOR=1.02, p=0.034), unplanned awakenings (oOR=1.02, p=0.045), and checking (oOR=1.04, p&lt;0.0005). Social support was associated with decreased checking (oOR=0.98, p=0.018). Conclusion Mobile device use at night itself is not associated with mental health, but specific activities may be. Also, those who report more disruptions from the device and more checking of the device also report worse mental health. Relationships might be bidirectional. Support Dr. Grandner is supported by R01MD011600 The SHADES study was funded by R21ES022931


2020 ◽  
Vol 14 (4) ◽  
pp. 155798832093721
Author(s):  
Daphne C. Watkins ◽  
Janelle R. Goodwill ◽  
Natasha C. Johnson ◽  
Allura Casanova ◽  
Tao Wei ◽  
...  

Conventional definitions of mental health, manhood, and social support create barriers to accessing behavioral health care for Black men ages 18 to 30. Targeted behavioral health interventions sensitive to culture, social norms, and gender that circumvent these barriers are desperately needed to improve access and integrated care for this group. This article reports mixed methods findings from the 2017 iteration of the Young Black Men, Masculinities, and Mental Health (YBMen) project, a social media–based, psychoeducational program that promotes mental health, progressive definitions of manhood, and sustainable social support for Black men. Young Black men ( n = 350) across two universities in the Midwest completed baseline surveys on their mental health, definitions of manhood, and social support. Forty of the men participated in the YBMen intervention and at postintervention reported experiencing fewer depressive symptoms on the Patient Health Questionnaire (PHQ-9, Z = −2.05, p < .01) and the Gotland Male Depression Scale (GMDS; Z = −1.76, p < .05). There were also changes on the Conformity to Masculine Norms Inventory (CMNI) for Self-Reliance ( Z = −0.34, p = .26) and Heterosexual Self-Presentation ( Z = −0.18, p = .59), though these changes were not statistically significant. A qualitative review of postintervention interviews revealed participants’ appreciation of the YBMen project and its influence on their mental health, manhood, and social support. Programmatic efforts that support the behavioral health, positive development, and social relationships of Black men translate into positive families, communities, and experiences as they live, learn, love, and work over the life course.


2019 ◽  
Author(s):  
Kedar Manandhar ◽  
Ajay Risal ◽  
Oshin Shrestha ◽  
Nirmala Manandhar ◽  
Dipak Kunwar ◽  
...  

Abstract Abstract Background: The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal. Methods: A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters of the Kavre district, Nepal. Trained nurses (field interviewers) administered structured questionnaires that included a validated Nepali version of the Geriatric Depression Scale short form (GDS-15) for identifying geriatric depression among the elderly (≥60 years) participants (N=460). Those scoring ≥6 on GDS-15 were considered depressed. Logistic regression analysis explored the associations of geriatric depression with regard to socio-demographic information, life style, family support and physical well-being. Results: Of the total 460 selected elderly participants, 439 (95.4%) took part in the study. More than half of them were females (54.2%). The mean age was 70.9 (± 8.6) years. Approximately half (50.6%) were rural inhabitants, the majority (86.1%) were illiterate, and about three-fifths (60.1%) were living with their spouses. The gender-and-age adjusted prevalence of geriatric depression was 53.1%. Geriatric depression was significantly associated with rural habitation (AOR 1.6), illiteracy (AOR 2.1), limited time provided by families (AOR 1.8), and exposure to verbal and/or physical abuse (AOR 2.6). Conclusion: Geriatric depression is highly prevalent in Kavre, Nepal. The findings call for urgent prioritization of delivery of elderly mental health care services in the country. Keywords: depression, elderly, lifestyle, mental health, prevalence


Author(s):  
Martin Steinberg ◽  
Paul B. Rosenberg

Changes in mood and/or cognition are common complaints in the elderly population. This chapter uses case studies to illustrate insights to make clinical assessment more efficient. These include assessing for cognitive impairment when depression is present and vice versa, being mindful of assuming that patients reporting cognitive difficulties are “worried well,” avoiding overreaction to very mild symptoms, assessing the four key cortical cognitive domains (amnesia, aphasia, apraxia, agnosia), assessing for subcortical dysfunction, assessing Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), and understanding that depression in the elderly often presents with atypical symptoms. Brief cognitive instruments which can improve assessment include the Mini Mental State Exam (MMSE), Montreal Cognitive Assessment (MoCA), Patient Health Questionnaire (PHQ), Clock Drawing Test (CDT), and the Mini Cog. Brief depression instruments include the Geriatric Depression Scale (GDSS), and Cornell Scale for Depression in Dementia (CSDD).


2021 ◽  
Vol 9 (2) ◽  
pp. 30-38
Author(s):  
Hye-Jin Lee ◽  
◽  
Hye-Jin Lee ◽  

Objectives: This study examines dental hygiene students’ knowledge of and attitudes and behavior toward elderly individuals. As the population of elderly people increases, the need for dental services for this group increases as well. Methods: A frequency analysis, correlation analysis, and one-way ANOVA were conducted using SPSS 25.0. Results: Participants had various levels of knowledge and differing attitudes and behavior toward elderly patients; subjects who were interested in older people had more positive attitudes toward the elderly, as did younger, less experienced participants and those who work with older people. Conclusions: Future studies should use additional measurement tools and include different groups of participants to improve understanding of dental hygiene students’ attitudes towards the elderly.


Author(s):  
David M Ndetei ◽  
Erick S Nandoya ◽  
Christine W Musyimi ◽  
Lucy W Kamau ◽  
Victoria N Mutiso

There is very little research conducted in Kenya on the prevalence of dementia. Although there is no specific strategy on dementia care in Kenya, the government of Kenya has made several strides towards improving mental health service provision. In 1982, the Kenya government became one of the signatories to the International Plan of Action on Ageing in Vienna, Austria. Later on, it incorporated the rights of the elderly into the 2010 Constitution and recently launched a mental health policy to address mental health issues in Kenya. While something has been done by non-governmental organizations (NGOs) involved in mental health, there is still a huge gap in access to mental health services, particularly dementia. This can be overcome through massive research and collaboration between the government and NGOs to identify and treat dementia, as well as other mental disorders.


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